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REGULAR MEETING February 25, 2019
<br /> Mr. Adolf replied, Exactly, ma'am. So, there will be a few less standards just because some of
<br /> those services won't be offered, but still, very high-level.
<br /> Councilmember Jo M. Broden stated, Ok, thank you. I appreciate the building layout because one
<br /> (1) of my questions was about occupancy. You are proposing twenty(20)?
<br /> Mr. Adolf replied,Yes, ma'am.
<br /> Councilmember Jo M. Broden followed up, And that is firm? Would you be willing to make a
<br /> commitment to that level for now and going forward?
<br /> Mr. Adolf replied, We would. Absolutely, ma'am.
<br /> Councilmember Jo M. Broden continued, And then, what are your calculations for occupancy? I
<br /> see a mix of two (2)to a bedroom, some are three(3), and I don't count twenty(20) as I'm one(1)
<br /> bed short when I'm quickly doing this but what do you base those calculations on?
<br /> Mr. Adolf replied, There are two (2) ways to do it. We could either take the entire square footage
<br /> of the entire building and divide that by one hundred and twenty(120) square feet. Or, you could
<br /> take just the bedrooms and divide that by seventy (70) square feet. So, either one (1). If you look
<br /> up in the notes, at the seventy(70) square feet calculation,just adding up the sleep area, the sleep
<br /> area alone is currently 1,753 square feet, and at that square footage, our maximum occupancy load
<br /> is twenty-five (25) people. I think one (1) thing to keep in mind here, too, ladies and gentlemen,
<br /> our patients will be coming to Choices Recovery to eat their meals, attend their classes, use our
<br /> gym, and so things like a kitchen will not be needed at this space.
<br /> Councilmember Jo M. Broden stated, Thank you for the clarification on the occupancy because
<br /> there was some concern, initially, about numbers and capacity. Related to that, you mentioned the
<br /> staff-to-client ratio, is that based on best practices in the field?
<br /> Mr. Adolf replied, Yes. That is based on our standard and what we expect for around twenty(20)
<br /> clients. Like I said, we plan on having two (2) security guards on, for every shift, seven(7) days a
<br /> week, twenty-four (24) hours a day, and that would be the minimum. So, we are looking at three
<br /> (3) and that third (3rd) person is a peer recovery coach and also a trained behavior interventionist.
<br /> All of our behavior interventionists have to work under the guidance of a Master's level counselor.
<br /> They cannot do any type of intervention without consulting with that patient's counselor, prior to.
<br /> They have to go off of their recommendation.
<br /> Councilmember Jo M. Broden then asked, Do you anticipate that the staffing could fluctuate from
<br /> one (1) facility to the other?
<br /> Mr. Adolf replied, Yeah and Choices, itself, is going to have a much higher staff load. Currently,
<br /> I have sixty-four(64) employees plus five(5) contractors. So, there are a lot more staff at Choices
<br /> currently,but again,you are provided a lot more services there. We have full kitchen staff,security
<br /> staff, transport staff, case management staff,personal trainers, nutritionists, and so there is a lot of
<br /> additional staff that goes into the actually service versus just supervising the living.
<br /> Councilmember Jo M. Broden followed up, And you had stated that within a year, you anticipate
<br /> applying for the similar regulatory accreditation?
<br /> Mr. Adolf replied,Yes,the standards to be able to apply for that accreditation includes having had
<br /> been open for at least one (1) year. That is so there is enough evidence to go through. As I said, it
<br /> is a very intense two (2) day survey. They are digging up financials, medical records, everything.
<br /> In order to compile enough data, you have to have been open for at least a year.
<br /> Councilmember Jo M. Broden then stated, Forgive me for this next question but I come from the
<br /> long-term care background. Are your surveys announced and are they scheduled dates or are they
<br /> surprises?
<br /> Mr. Adolf replied, They are announced. We schedule them, and they are announced. We can have
<br /> surprise inspections from the State and insurance companies. There are a lot of other guidelines
<br /> we must adhere to other than just our CARF-Accreditation.
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